Saint Alphonsus Medical Group Federal Way

LBN: Saint Alphonsus Physician Services Inc
Saint Alphonsus Medical Group Federal Way is an health care organization with primary practice located at 1880 Judith Lane , Boise ID 83705-3185. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Saint Alphonsus Physician Services Inc can be contacted via phone (208) 367-6910, or through Reilly, Janelle G. via phone (208) 367-6490.

Contact Information

Primary practice address
1880 Judith Lane Boise ID 83705-3185
Phone: (208) 367-6910
Fax: (208) 367-6170
Website:
Map and Directions
Authorized official contact:
Name: Reilly, Janelle G.
Phone: (208) 367-6490

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1760418065
LBN Legal business name Saint Alphonsus Physician Services Inc
DBA Doing business as Saint Alphonsus Medical Group Federal Way
Authorized official Reilly, Janelle G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Aug 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760418065 NPPES
Idaho MEDICAID 805276500

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